Search › Illinois › 363L00000X
Christina Wagener, APN
NPI 1033469994 · on the registry since 2012
Practice
- Address
- 5419 135th St
Crestwood, IL 60418 - Phone
- (708) 358-7300
- Organisation at this address
- Beacon Pace Illinois Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 800 Route 70, Lakehurst, NJ
- 4837 E Mckinley Ave, Fresno, CA
- 1075 Stephenson Ave Unit B, Oceanport, NJ
- 700 E Walnut St, Evansville, IN
- 1700 E Dublin Granville Rd, Columbus, OH
- 2050 E Parrish Ave, Owensboro, KY
- 2801 Ashley Phosphate Rd, North Charleston, SC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
363LF0000X
363LF0000X
363LF0000X
363LF0000X - Licence states on file
- IL, OH, IN, SC, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois